| NPI | 1700213998 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: DC OT010000642)  | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119005020)  | 
| 225XP0200X Occupational Therapist, Pediatrics (Licence: MD 06410)  | |
| Enumeration Date | 2013-10-02 | 
| Last Update Date | 2013-10-02 |